A 48-year-old woman on ICU develops thyroid storm following emergency surgery. Her temperature is 40.2°C, heart rate 165 bpm (atrial fibrillation), BP...

Question

A 48-year-old woman on ICU develops thyroid storm following emergency surgery. Her temperature is 40.2°C, heart rate 165 bpm (atrial fibrillation), BP 150/60, GCS 12, and she has profuse sweating. Free T4 is 85 pmol/L (normal 9-25), TSH

Accepted Answer

IV propranolol, oral propylthiouracil, IV hydrocortisone, and Lugol's iodine (given 1 hour after propylthiouracil)

Answer

Oral carbimazole only

Answer

IV propranolol only

Answer

Radioactive iodine therapy

Answer

Emergency thyroidectomy

uk-fficm MCQ (SBA): Thyroid Storm